42nd HCQ&PS conference

Conference Agenda

Thursday, April 25, 2019
3:30pm-6:00pm    Early Registration

Pick up your conference materials early, save time in the morning!

4:30pm-6:00pm    Networking Reception

Relax and Network! Reception is ages 21 and over only, please.


Friday, April 26, 2019
6:30am-7:45am    Registration, Sign In, and Continental Breakfast

7:45am-8:00am    Welcome, Announcements, & CHCQM Diplomate Achievement Award Presentation

Moderators:
Arthur Broder, MD, CHCQM
Chairman of the Board - ABQAURP


Sunil K. Sinha, MD, CHCQM, MBA, FACP
CME Committee Chair - ABQAURP
Chief  Medical Officer - Barnes Jewish (BJC) Health Systems Medical Group


8:00am-9:00am    Insurance Denials: Appeals, Prevention & Contracting Advice
Howard A. Stein, DO, MHA, CHCQM-PHYADV - Associate Director of Medical Affairs, Physician Advisor Case Management - CentraState Medical Center; President - CentraState Medical Associates; and Board of Directors - American College of Physician Advisors
  • Demonstrate the insurance appeal process and strategies to overturn denials
  • Illustrate how to prevent insurance denials with good documentation and utilization
  • Analyze the impact the physician advisor has on managed care contracts that can reduce insurance denials

9:00am-10:00am    Current Case Manager Challenges / Opportunities

Teresa M. Treiger, RN-BC, MA, CCM, FABQAURP - Principal - Ascent Care Management
  • Describe the effects of the opioid crisis on case management
  • Demonstrate how shared decision-making initiatives impact case management
  • Discuss how long term services and support are changing case management practices

10:00am-10:15am    Networking Break


10:15am-11:15am    Building Personal and Organizational Resiliency with Quality Improvement
Bruce Spurlock, MD - President & CEO - Cynosure Health
  • Describe the evolving landscape of quality improvement
  • Define the major drivers of change
  • Create action steps to position the participant's organization for future change

11:15am-12:15pm    Combating Burnout and Returning Joy to Medicine

Lee Daugherty Biddison, MD, MPH - Associate Professor - Johns Hopkins School of Medicine
  • Discuss the main drivers of clinician burnout
  • Review consequences of burnout
  • Identify tools for improving provider satisfaction

12:15pm-1:15pm    Networking Lunch (Buffet Lunch Provided)


1:15pm-2:15pm    A Transition of Care Standard; Assessing Social Determinants of Health
Cheri Lattimer, RN, BSN - Executive Director - National Transitions of Care Coalition
  • Illustrate how social determinants of health (SDoH) impact patient behavior and transitions of care (TOC)
  • Identify the six principal socioeconomic factors that affect health outcomes
  • Analyze the implementation of shared decision making to improve patient engagement
  • Outline what is needed to improve TOC and SDoH

2:15pm-3:15pm    Physician Advisor at a Major Academic Medical Center; Bringing Purpose & Passion to the Role

Charles F.S. Locke, MD, CHCQM-PHYADV - Senior Physician Advisor - Johns Hopkins Hospital
  • Identify the potential roles of a physician advisor at a major academic medical center
  • Relate the value of a physician advisor in improving the efficiency and quality of the discharge process
  • Demonstrate the value of a physician advisor in ensuring appropriate payment by payers for services delivered

3:15pm-3:30pm    Networking Break


3:30pm-4:30pm    The Road to Value-Based Care: A Proven Model to Engage Physicians
Deborah Zimmerman, MD - Corporate Chief Medical Officer - Lumeris
  • Describe the critical drivers of success in value-based care
  • Discuss guiding principles for effective physician compensation
  • Define the critical behaviors needed to deliver accountable primary care

4:30pm-5:30pm    Privacy and HIPAA: New Times, New Rules

Ann N. James, JD, PhD - Research Management Group Senior Compliance Contract Manager - Stanford University School of Medicine
  • Illustrate the scope and interaction of HIPAA with other privacy requirements
  • Identify new state laws governing privacy and related requirements
  • Employ specific steps any practitioner can take to avoid compromising patient privacy

5:30pm    Closing Remarks and Adjournment


*Schedule, faculty, and content are subject to change.



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